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A Medicaid and CHIP state plan is an agreement between a state and the Federal government describing how that state administers its Medicaid and CHIP programs. It gives an assurance that a state will abide by Federal rules and may claim Federal matching funds for its program activities. The state plan sets out groups of individuals to be covered, services to be provided, methodologies for providers to be reimbursed and the administrative activities that are underway in the state.
When a state is planning to make a change to its program policies or operational approach, states send state plan amendments (SPAs) to the Centers for Medicare & Medicaid Services (CMS) for review and approval. States also submit SPAs to request permissible program changes, make corrections, or update their Medicaid or CHIP state plan with new information.
Persons with disabilities having problems accessing the SPA PDF files may call 410-786-0429 for assistance.
This amendment is to extend coverage of pregnancy-related services, including extended pregnancy-related services from 60 days to 12 months because of the passage of Senate bill 232 during the 82^nd^ Legislative session (2023) and is consistent with Nevada’s extension of the postpartum eligibility period to 12 months.
This amendment is to create a new clinic type under Special Clinics for providers who treat children under the age of 21 with cancer and other rare diseases.
This amendment is to allow medically necessary cosmetic procedures for recipients who have been diagnosed with gender dysphoria or gender incongruence.
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to allow for Certified Community Behavioral Health Centers (CCBHCs) to continue with the anticipated cost reporting prospective payment system (PPS).
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to rescind the establishment of the COVID laboratory testing reimbursement rate at 100% of Medicare that was approved on June 18, 2020 under SPA NV-20-0009.
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to rescinds temporary disaster relief provisions of the state plan to allow the agency to make American Rescue Plan Act Section 9817 increases for home and community-based services by Provider Types 29, 30, 39 and 83.
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to implement a quarterly supplemental payment to certain Home and Community Based Services provider types.
Summary: CMS is approving this time-limited state plan amendment to respond to the COVID-19 national emergency. The purpose of this amendment is to implement a one-time supplemental payment of $500 issued to currently employed home care staff, as of July 1, 2022.